Everytime I go to the Doctor’s office I enter a Blood pressure quagmire. Years back I had a Dr who gave me samples and a prescription for Benicar. My pressure was sad to be 138/90. A home auto BP machine had me at 120/80. Day 3 on the Benicar and I bent over to pick something up and I almost went down feeling lightheaded. My pressure was really low on my machine but don’t remember the numbers.
I saw saw a different doctor. He checked my machine on me and pronounced it accurate. He had me take my pressure morning and night for 2 weeks and record the results. He reviewed the results and said I was fine. Then went on to tell me that he would never prescribe a dual agent BP Med based on my reported pressure, perhaps diet modification but not what I received.
A few weeks ago I went for a physical with an APRN and was told my pressure was 140/93. 45 minutes earlier I was in the gym finishing my deadlifts. Then after the physical was done they had me sit in a chair alone in the examination room for 5 min. My pressure was taken again this time it was what I see at home 110/70. But of course the paperwork I walked out with (my results) said my pressure was 140/93.
I had my pressure taken today in another doctor’s office, this time standing and again it came out as 140/90.
Undoubtedly I have some white coat syndrome going on. The mere fact that my blood pressure will be taken puts me on edge due to past experiences.
I guess my question is: if a known good machine records my pressure during the day at home between 110/70 - 120/80 for a 59 year old male who takes zero medications except eye drops for pressure issues should I be concerned about Doctor’s office readings?